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Enteritis infectiosa

Infectious enteritis

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An Erratum to this article was published on 16 November 2011

Zusammenfassung

Die infektiöse Diarrhö gehört zu den häufigsten Infektionen überhaupt. Eine große Vielfalt verschiedener Erreger kommt als Auslöser infrage. Die Transmission erfolgt in Deutschland meist über kontaminierte Lebensmittel, seltener als Schmierinfektion, bei enteralen Viren auch direkt per Tröpfcheninfektion. In Deutschland werden mehr als 90% der zum Robert Koch-Institut gemeldeten Fälle durch folgende 4 Erreger verursacht: Norovirus, Rotavirus, Campylobacter und Salmonellen. Die Therapie der infektiösen Diarrhö ist in erster Linie supportiv. Bei entzündlichem Bild, blutiger Diarrhö, prolongiertem Verlauf, Immunsuppression, Komorbidität und bei vermuteten Ausbrüchen sollten eine gezielte Erregerdiagnostik erfolgen sowie eine spezifische Therapie erwogen werden.

Abstract

Infectious diarrhea belongs to the most frequent infections worldwide and can be elicited by a wide array of microbial pathogens. In developed countries transmission occurs much more frequently from contaminated food as compared to direct person-to-person contact, except for enteric viruses which can also be transmitted by aerosol formation after vomiting. In Germany, more than 90% of cases are caused by the four pathogens Norovirus, Rotavirus, Campylobacter and Salmonella. Therapy of infectious diarrhea is mainly supportive. In cases with a severe or prolonged course, signs of inflammation, bloody stool, immunosuppression, comorbidity and in suspected outbreaks, fecal microbial analysis should be performed and a specific therapy should be considered if indicated.

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Literatur

  1. Wit MA de, Hoogenboom-Verdegaal AM, Goosen ES et al (2000) A population-based longitudinal study on the incidence and disease burden of gastroenteritis and Campylobacter and Salmonella infection in four regions of The Netherlands. Eur J Epidemiol 16:713–718

    Article  PubMed  Google Scholar 

  2. DuPont HL (1997) Guidelines on acute infectious diarrhea in adults. The Practice Parameters Committee of the American College of Gastroenterology. Am J Gastroenterol 92:1962–1975

    PubMed  CAS  Google Scholar 

  3. Guerrant RL, Van Gilder T, Steiner TS et al (2001) Practice guidelines for the management of infectious diarrhea. Clin Infect Dis 32:331–351

    Article  PubMed  CAS  Google Scholar 

  4. Hillers VN, Medeiros L, Kendall P et al (2003) Consumer food-handling behaviors associated with prevention of 13 foodborne illnesses. J Food Prot 66:1893–1899

    PubMed  Google Scholar 

  5. Imhoff B, Morse D, Shiferaw B et al (2004) Burden of self-reported acute diarrheal illness in FoodNet surveillance areas, 1998–1999. Clin Infect Dis 38(Suppl 3):219–226

    Article  Google Scholar 

  6. John LJ, Fromm M, Schulzke JD (2011) Epithelial barriers in intestinal inflammation. Antioxid Redox Signal, doi 10.1089/ars.2011.3892

  7. Kaplan JE, Feldman R, Campbell DS et al (1982) The frequency of a Norwalk-like pattern of illness in outbreaks of acute gastroenteritis. Am J Public Health 72:1329–1332

    Article  PubMed  CAS  Google Scholar 

  8. Loo VG, Poirier L, Miller MA et al (2005) A predominantly clonal multi-institutional outbreak of Clostridium difficile-associated diarrhea with high morbidity and mortality. N Engl J Med 353:2442–2449

    Article  PubMed  CAS  Google Scholar 

  9. McDonald LC, Killgore GE, Thompson A et al (2005) An epidemic, toxin gene-variant strain of Clostridium difficile. N Engl J Med 353:2433–2441

    Article  PubMed  CAS  Google Scholar 

  10. Nachamkin I, Allos BM, Ho T (1998) Campylobacter species and Guillain-Barre syndrome. Clin Microbiol Rev 11:555–567

    PubMed  CAS  Google Scholar 

  11. Thielman NM, Guerrant RL (2004) Clinical practice. Acute infectious diarrhea. N Engl J Med 350:38–47

    Article  PubMed  CAS  Google Scholar 

  12. Weis S, Grimm M (2011) Nosokomiale Diarrhö. Internist 52:167–177

    Article  PubMed  CAS  Google Scholar 

  13. Wistrom J, Jertborn M, Ekwall E et al (1992) Empiric treatment of acute diarrheal disease with norfloxacin. A randomized, placebo-controlled study. Swedish Study Group. Ann Intern Med 117:202–208

    PubMed  CAS  Google Scholar 

  14. Wong CS, Jelacic S, Habeeb RL et al (2000) The risk of the hemolytic-uremic syndrome after antibiotic treatment of Escherichia coli O157:H7 infections. N Engl J Med 342:1930–1936

    Article  PubMed  CAS  Google Scholar 

  15. Robert Koch-Institut (2009) Aktuelle Daten und Informationen zu Infektionskrankheiten und Public Health. Epidemiol Bull 4:27

    Google Scholar 

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Authors and Affiliations

  1. Medizinische Klinik für Gastroenterologie, Infektiologie, Rheumatologie, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin, Deutschland

    H.-J. Epple & M. Zeitz

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  1. H.-J. Epple
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  2. M. Zeitz
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Correspondence to H.-J. Epple.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s00108-011-2976-3

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Epple, HJ., Zeitz, M. Enteritis infectiosa. Internist 52, 1038–1046 (2011). https://doi.org/10.1007/s00108-011-2862-z

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  • DOI: https://doi.org/10.1007/s00108-011-2862-z

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